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MODIVCARE SOLUTIONS LLC NPI 1699725143


NPI Information

NPI: 1699725143
Provider Name: MODIVCARE SOLUTIONS, LLC
Classification: Transportation Broker - 347E00000X
Entity Type: Organization
Address:
1275 PEACHTREE STREET NE
6TH FL
ATLANTA, GA
ZIP 30309
Phone: (404) 888-5800
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MODIVCARE SOLUTIONS, LLC is a transportation broker in Atlanta, GA. The provider is an organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation. MODIVCARE SOLUTIONS, LLC NPI is 1699725143. The provider is registered as an organization entity type.

The provider's business location address is:

1275 PEACHTREE STREET NE
6TH FL
ATLANTA, GA
ZIP 30309
Phone: (404) 888-5800
Fax: (877) 352-5640

The provider's authorized official is Daniel Greenleaf .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (404) 888-5800.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 5/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceNo
2343900000XNon-emergency Medical Transport (VAN)No
3344600000XTaxiNo
4347B00000XBusNo
5347C00000XPrivate VehicleNo
6347E00000XTransportation BrokerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11000014337MEDICAIDDELAWARE
212389OTHERPENNSYLVANIAELDERHEALTH PA
3410187100MEDICAIDFLORIDA
4000004686MEDICAIDGEORGIA
51521OTHERTEXASELDERHEALTHTX
60000071637MEDICAIDOKLAHOMA
7100500601OTHERNEVADAVARIOUS STATE AGENCIES
881700-035697MEDICAIDFLORIDA
9191815OTHERAMERIGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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